Bone density in relation to alcohol intake among men and women in the United States

Wosje, Karen S.; Kalkwarf, Heidi J.

doi:10.1007/s00198-006-0249-0

Cited by 61 publications

(37 citation statements)

References 38 publications

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“…In our study there were no significant associations of alcohol on BMD levels in girls, supported also by Dorn et al On the contrary; in boys, alcohol consuming was significantly and positively associated to BMD at the hip sites, supported by findings in adults where moderate alcohol consumption appears to be beneficial to men´s bone health [44,45]. This effect has been suggested by Wosje and Kalkwarf to be linked to the promotion of endogenous estrogen synthesis, and thereby increasing BMD in individuals with low circulating estrogen concentrations [44].…”

Section: Discussionsupporting

confidence: 88%

“…This effect has been suggested by Wosje and Kalkwarf to be linked to the promotion of endogenous estrogen synthesis, and thereby increasing BMD in individuals with low circulating estrogen concentrations [44]. Anyhow; this result must be interpreted carefully, as the questions about alcohol consumption has not been validated for this age group.…”

Section: Discussionmentioning

confidence: 96%

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The Tromsø Study: Fit Futures: a study of Norwegian adolescents’ lifestyle and bone health

et al. 2014

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Summary Bone mass achievement predicts later fracture risk. This population-based study describes bone mineral density levels (BMD) and associated factors in Norwegian adolescents. Compared with international reference ranges, BMD levels appear higher and physical activity levels are positively associated with BMD.Purpose Norway has one of the highest reported incidences of osteoporotic fractures. Maximization of peak bone mass may prevent later fractures. This population-based study compared BMD levels of Norwegian adolescents with international reference ranges and explored associated factors.Methods All first year upper secondary school students, aged 15-19 years in the Tromsø region were invited to the Fit Futures study in 2010-2011. Over 90% of the invited participants attended, 508 girls and 530 boys. BMD was measured at total hip, femoral neck and total body by dual x-ray absorptiometry.Lifestyle variables were collected by self-administered questionnaires and interviews. All analyses were performed sex stratified, using linear regression models.Results In girls mean BMD (SD) was 1.060 (0.124), 1.066 (0.123) and 1.142 (0.077) g/cm² at the total hip, femoral neck and total body respectively. In boys corresponding values were 1.116 (0.147), 1.103 (0.150) and 1.182 (0.097), with significant higher values than the Lunar pediatric reference at 16 years of age In girls, height and self-reported intensive physical activity of more than four hours a week and early sexual maturation were positively associated with BMD at both femoral sites (p<0.047). Among boys age, height, body mass index, physical activity and alcohol intake were positively (p<0.038), whereas early stages of sexual maturation and smoking was negatively (p<0.047) related to BMD.Conclusions Despite the heavy fracture burden, Norwegian adolescents´ BMD levels are higher than agematched Caucasians. Physical activity is associated with 1 SD increased BMD levels in those involved in competition or hard training.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 96%

The Tromsø Study: Fit Futures: a study of Norwegian adolescents’ lifestyle and bone health

et al. 2014

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“…This was consistent with Cardiovascular Health Study, which suggested a positive relation between moderate alcohol intake and BMD at the hip among old adults aged 465 years (Mukamal et al, 2007;Tucker et al, 2009). A cross-sectional study also demonstrated that alcohol intake was linearly related to BMD at the hip and spine in old men aged 465 years (Cawthon et al, 2006) and drinking alcohol was beneficial to the bone health of men and possibly postmenopausal women (Wosje and Kalkwarf, 2007). The mechanisms for the protective effects of alcohol intake on BMD are less clear.…”

Section: Discussionsupporting

confidence: 81%

Beverage-specific alcohol intake and bone loss in older men and women: a longitudinal study

et al. 2011

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Background/Objectives: There is inconsistent evidence regarding the association between moderate alcohol consumption and bone mineral density (BMD). The aim of this study was to describe the associations between total and beverage-specific alcohol intake and bone loss in older men and women. Subject/Methods: A total of 862 randomly selected subjects (mean age 63 years, range 51-81, 51% men) were studied at baseline and 2 years later. BMD was assessed by dual-energy X-ray absorptiometry. Beverage specific and total alcohol intake was assessed by food-frequency questionnaire. Falls risk was determined using the short form Physiological Profile Assessment. Incident fractures were ascertained by questionnaire. Results: Total alcohol intake in men positively predicted change in BMD at the lumbar spine and hip (b ¼ 0.008% and 0.006% per year per gram, Po0.05) after adjustment for confounders, but there was no significant association between alcohol intake and change in BMD in women. Lumbar spine BMD at baseline was negatively associated with frequency of spirits/liquor drinking in men (b ¼ À0.01 g/cm 2 per category, P ¼ 0.045) and was positively associated with frequency of beer drinking (low alcohol) in women (b ¼ 0.034 g/cm 2 per category, P ¼ 0.002). Change in lumbar spine BMD was positively associated with the frequency of red wine drinking in men (b ¼ 0.08% per year per class, P ¼ 0.046). Neither beverage-specific nor total alcohol intake was associated with falls risk or fracture. Conclusions: Alcohol intake especially red wine might prevent bone loss in older men but not women, whereas low-alcohol beer may be protective in women and spirits/liquor may be deleterious in men.

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“…Although earlier observations suggested a potential protective effect of moderate alcohol consumption on BMD at the femoral neck and/or lumbar spine in postmenopausal women (10)(11)(12)(14)(15)(16)18,(20)(21)(22)(23) , highest BMD values were mostly found in women who consumed at least one drink daily. Among a group of peri-and postmenopausal women, alcohol consumption (mean intake of consumers was 125 g/week) was a positive predictor for spine BMD (3) .…”

Section: Discussionmentioning

confidence: 78%

“…Additionally, low body weight or low BMI, which are strong predictors of osteoporotic fractures (48) , frequently Table 2 Characteristics of the study participants according to alcohol intake assessed using the lifestyle questionnaire: elderly Finnish women (n 300), Kuopio Osteoporosis Risk Factor and HT, hormone therapy; BMD, bone mineral density. *The difference between categorical variables was analysed using the x occur in alcohol-drinking elderly women (12,14,16,18,20,21,25) . However, in our sample there were no statistically significant differences in BMI across the categories of alcohol intake.…”

Section: Discussionmentioning

confidence: 99%

Alcohol consumption and bone mineral density in elderly women

Sommer

Erkkilä

Järvinen

et al. 2012

Public Health Nutr.

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Objective: Findings regarding alcohol consumption and bone mineral density (BMD) in elderly women have been inconsistent. The objective of the present study was to explore the association of alcohol intake with BMD in elderly women. Design: This cohort study included women from the population-based Kuopio Osteoporosis Risk Factor and Prevention -Fracture Prevention Study (OSTPRE-FPS). Alcohol intake and potential confounders were assessed at baseline and after 3 years of follow-up using a lifestyle questionnaire. In addition, an FFQ was distributed in the third year to measure dietary intake, including alcohol. Women underwent BMD measurements at the femoral neck and lumbar spine at baseline and after 3 years of follow-up. Setting: Kuopio Province, Finland. Subjects: Three hundred elderly women (mean age 67?8 years) who provided both BMD measurements and FFQ data. Results: Alcohol consumption estimated from the FFQ and lifestyle questionnaire was significantly associated with BMD at both measurement sites after adjustment for potential confounders, including lifestyle and dietary factors (P , 0?05). Using the FFQ, women drinking .3 alcoholic drinks/week had significantly higher BMD than abstainers, 12?0 % at the femoral neck and 9?2 % at the lumbar spine. Results based on the lifestyle questionnaire showed higher BMD values for all alcohol-consuming women at the femoral neck and for women drinking 1-3 alcoholic beverages/week at the lumbar spine, compared with non-users. Conclusions:The results from OSTPRE-FPS suggest that low to moderate alcohol intake may exert protective effects on bone health in elderly women.

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Bone density in relation to alcohol intake among men and women in the United States

Abstract: Drinking alcohol, but not binge drinking, appears to be beneficial to bone health of men and possibly postmenopausal women.

Cited by 61 publications

References 38 publications

The Tromsø Study: Fit Futures: a study of Norwegian adolescents’ lifestyle and bone health

The Tromsø Study: Fit Futures: a study of Norwegian adolescents’ lifestyle and bone health

Beverage-specific alcohol intake and bone loss in older men and women: a longitudinal study

Alcohol consumption and bone mineral density in elderly women

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